Centre for Policy on Ageing
 

 

Policy, payment, and participation
 — long-term care reform in Ontario
Author(s)Raisa B Deber, A Paul Williams
Journal titleCanadian Journal on Aging, vol 14, no 2, Summer 1995
Pagespp 294-318
KeywordsOrganisation of care ; Services ; Health services ; Long term ; Community care ; Policy ; Canada.
AnnotationAlthough Canadian Medicare gives the population "reasonable access" to all "medically necessary" general practitioner and hospital services, long-term care is not formally subject to these conditions. In Ontario, long-term care involves a "patchwork quilt" of government, charitable, for-profit, and personally provided services. An ongoing consultation has been under way in an attempt to rationalise service financing and provision. This paper reviews the series of policy proposals and the accompanying public consultation processes. It concludes that the emphasis on "community involvement" without a clear definition of "community " or the goals of participation has paradoxically increased the "scope of conflict", increased frustration among stakeholders, and made policy action more difficult. (RH).
Accession NumberCPA-970821257 A
ClassmarkP: I: L: 4Q: PA: QAD: 7S

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